National Provider Identifier

Diana Katherine Bronschidle, ATC

Diana Katherine Bronschidle, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Tonawanda, NY and a listed phone number of (516) 317-2597.

NPI 1871150359Tonawanda, NYAthletic Trainer

Profile Overview

NPI
1871150359
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
May 21, 2019
Last Updated
May 21, 2019

Practice Location

  • 159 Dexter Ter
  • Tonawanda, NY 14150-4720

Phone: (516) 317-2597

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1871150359
Entity Type
Individual
Last Name
Bronschidle
First Name
Diana
Middle Name
Katherine
Credential
ATC
Mailing Street Address
159 Dexter Ter
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-4720
Mailing Country
US
Mailing Phone
(516) 317-2597
Practice Street Address
159 Dexter Ter
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-4720
Practice Country
US
Practice Phone
(516) 317-2597
Enumeration Date
May 21, 2019
Last Updated
May 21, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)